We present a case of a patient with hepatic hydatidosis who, after an episode of cholangitis, presented bilioptysis. A biliobronchial fistula and portal thrombosis were diagnosed, requiring surgical fistula resection and bile duct prostheses placement as well as a vena cava filter. After the procedure, the patient has not relapsed and continues with a vena cava filter due to his portal thrombosis.
